Active NPI
Julie Christine Rose, LPC
- Professional Counselor
- Wasilla, AK
National Provider Identifier
1053989871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 163890
- Practice address
- 7800 E Settlement Ave
Wasilla, AK 99654-9342 - Phone
- (907) 841-5807
- NPI assigned
- Jun 17, 2021
- Last updated
- Jun 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 163890 | AK | Primary |
Addresses
Primary practice location
7800 E Settlement Ave
Wasilla, AK 99654-9342
Mailing address
7800 E Settlement Ave
Wasilla, AK 99654-9342
Phone (907) 841-5807
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163890 | Other | AK | LICENSED PROFESSIONAL COUNSELOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 163890 | AK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1053989871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7800 E SETTLEMENT AVE",
"city": "WASILLA",
"state": "AK",
"postal_code": "996549342",
"telephone_number": "907-841-5807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 E SETTLEMENT AVE",
"city": "WASILLA",
"state": "AK",
"postal_code": "996549342",
"telephone_number": "907-841-5807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "JULIE",
"middle_name": "CHRISTINE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-17",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AK",
"license": "163890",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PROFESSIONAL COUNSELOR",
"identifier": "163890",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.